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Accidental Death & Dismemberment (ADD) Enrollment Form Please complete the entire application. If completing this application in paper format, please print clearly in dark ink and return to: Starr
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Accidental death and dismemberment (AD&D) is a type of insurance policy that pays benefits to the beneficiary if the insured person dies or is dismembered as a result of an accident.
The beneficiary or the policyholder is usually required to file a claim for accidental death and dismemberment benefits.
To fill out an accidental death and dismemberment claim, the beneficiary or policyholder may need to provide documentation of the accident, medical records, and any other requested information by the insurance company.
The purpose of accidental death and dismemberment insurance is to provide financial protection to the insured person's beneficiaries in the event of accidental death or dismemberment.
The information that must be reported on an accidental death and dismemberment claim usually includes details of the accident, medical documentation, and any other relevant information requested by the insurance company.
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